Restorative & Materials · single question

An elderly patient with a full-time caregiver needs Class V restorations. Which material is MOST appropriate?

  1. Glass ionomer cement
  2. Silver diamine fluoride
  3. Amalgam
  4. Composite resin
Show answer and explanation

Correct answer: A. Glass ionomer cement

Glass ionomer cement (GIC) is ideal for elderly high-caries-risk patients: fluoride-releasing (cariostatic), chemically adhesive to tooth structure, moisture-tolerant, technique-insensitive. Source confirms: 'Glass ionomer (puse esta).'
  • A. CORRECT. GIC — fluoride-releasing, moisture-tolerant, chemically adhesive. Ideal for elderly high-risk patients.
  • B. SDF arrests caries but stains lesions black and is not a restorative material — doesn't restore function.
  • C. Amalgam requires significant tooth preparation and has no fluoride release — less appropriate than GIC for Class V.
  • D. Composite resin requires excellent moisture control and bonding — challenging in elderly patients with compromised cooperation.

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